Klinische Monatsblatter fur Augenheilkunde最新文献

{"title":"Automated Measurement of Strabismus Angle Using a Commercial Virtual Reality Headset.","authors":"Rino Vicini, Dominik Brügger, Hilary Grabe, Mathias Abegg","doi":"10.1055/a-2466-0284","DOIUrl":"10.1055/a-2466-0284","url":null,"abstract":"<p><p>Current clinical measurements of strabismus angles (SAs) are manual and require a skilled examiner and active cooperation by patients. This results in high interexaminer variability, and clinical use is limited by the availability of trained examiners. An objective and automated procedure, independent of the examiner, would be useful. This single-center, prospective, diagnostic feasibility study compared the vertical and horizontal SA of patients, as measured with a commercially available virtual reality headset (VRH) and custom software with the gold standard measurements performed manually with the Harms tangent screen (HW) and the alternate prism cover test (ACT). We implemented the ACT by showing the patient a fixation target on each eye alternatively with the VRH while recording the eye position of the patient. We then processed the data with custom written software to calculate the SA of the patients. These measurements were then compared to the SA measured with HW and the clinical ACT. Thirty-three patients took part in our study. We found good correlation between the VRH method and the HW as well as the clinical ACT. Best correlation was found for horizontal SA in the primary position, with the vertical SA in the primary position also correlating well. Peripheral gaze resulted in a slightly lower correlation due to the overestimation of horizontal SA and underestimation of vertical SA; cyclorotation was not measured with the VRH. Overall, VRH, HW, and clinical ACT correlated similarly well as the published interexaminer correlation for ACT. The automated measurement of strabismus with a VRH is feasible, easily applicable, fast, accurate, and can be run on consumer hardware that is affordable and increasingly available.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"485-488"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142854655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unilateral Acute Serous Retinal Detachment with Pachychoroid Following Postpartum Haemorrhage: A Case Report.","authors":"Enrico Meduri, Ariane Malclès, Gabriele Thumann, Giorgio Enrico Bravetti","doi":"10.1055/a-2542-5369","DOIUrl":"https://doi.org/10.1055/a-2542-5369","url":null,"abstract":"<p><strong>Purpose: </strong>To elucidate the development and resolution of a unilateral acute serous retinal detachment (SRD) in a healthy patient following a complicated postpartum haemorrhage. This underscores the impact of systemic volume alterations and stress-induced factors on retinal fluid balance.</p><p><strong>Background: </strong>Postpartum SRD is observed in individuals with pre-eclampsia and patients with previously diagnosed central serous chorioretinopathy, both attributed to hormonal and volumetric fluctuations during pregnancy.</p><p><strong>Case description: </strong>A 33-year-old woman presented with metamorphopsia and blurry vision in her left eye 24 hours following childbirth complicated by haemorrhagic shock. Notably, the patient had pre-delivery physiological vital signs with no alterations of consciousness, arterial blood pressure, or renal function. At presentation, the visual acuity in the left eye was 1.0 decimals and the anterior segment was within normal limits, while fundoscopy revealed a slight alteration in the foveal reflex. Spectral-domain optical coherence tomography (SD-OCT) revealed the presence of a dome-shaped SRD in the foveal region with a central foveal thickness of 279 µm and pachychoroid at 410 µm retro-foveally. The examination of the right eye and SD-OCT were unremarkable, except for the presence of pachychoroid at 367 µm retro-foveally. No treatment was initiated. At 48 hours, SD-OCT scans revealed complete resorption of the SRD in the left eye with a persistent focal alteration in the foveal region of the ellipsoid zone. Retro-foveal choroid thickness (RCT) was unchanged. At one month, visual acuity remained stable, and the patient was no longer symptomatic. The left eye SD-OCT revealed a reduction in CFT (279 µm vs. 224 µm, a 20.2% reduction) and RCT (410 µm vs. 360 µm, a 14.6% reduction) compared to baseline. Remarkably, the right eye also exhibited a 14.9% reduction in RCT (367 µm vs. 309 µm).</p><p><strong>Conclusion: </strong>This case highlights the role that postpartum systemic changes and complications can play in the occurrence of retinal and choroidal changes. We believe that in this specific case, the development of acute SRD was probably due to oncotic fluctuations related to the hypovolaemic status following postpartum haemorrhage. This also emphasises the utility of SD-OCT for assessment and follow-up monitoring, providing valuable insights into retinal and choroidal changes over time.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"413-417"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Candida Endophthalmitis - Successful Treatment by Single Amphotericin B Injection in Combination with Systemic Antimycotic Treatment.","authors":"Saskia Lindau, Pascal W Hasler, Hanna Zuche","doi":"10.1055/a-2542-3747","DOIUrl":"https://doi.org/10.1055/a-2542-3747","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"463-465"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sterility Assessment of Reclosable Ophtioles with Unpreserved Autologous Serum during Single-Day Use.","authors":"Frank Blaser, Isabelle Meneau, Jürg Wiedler, Olga Lamprecht, Daniel Barthelmes, Sandrine Zweifel, Philip Perschak, Maximilian Robert Justus Wiest, Fabienne Fierz, Sadiq Said, Anahita Bajka","doi":"10.1055/a-2496-7289","DOIUrl":"https://doi.org/10.1055/a-2496-7289","url":null,"abstract":"<p><strong>Background: </strong>According to the European Pharmacopoeia, multidose containers for eye drops must either contain antimicrobial agents, preservatives, or be fitted with filters or non-return valves to prevent microbial contamination after opening. Vials for single-day use do not have filters or non-return valves. The aim of this study is to demonstrate the safety of reclosable vials (ophtioles) containing unpreserved autologous serum eye drops (ASEDs) by evaluating their sterility during single-day use.</p><p><strong>Material and methods: </strong>Two types of reclosable ophtioles were evaluated, one with a screw cap (Meise System, Heinz Meise GmbH, Schalksmühle, Germany) and the other one with a plug cap (COL System, BIOMED DEVICE S. R. L., Modena, Italy). Drop application over 12 hours was simulated in the laboratory following the manufacturer's instructions. For the Meise System, drops were applied at 2-hour intervals, while for the COL System, drops were applied at 1-hour intervals. Each application involved inoculating a chocolate-agar PolyViteX plate (PolyViteX, bioMérieux SA, Marcy-l'Étoile, France) with two drops spaced apart on the same plate and then incubating the plate. After 24 hours, a final inoculation was performed to check for sterility, and the plates were scored after 24 and 48 hours of incubation.</p><p><strong>Results: </strong>In the Meise System test series, 12 vials were tested, providing 192 measurements over 12 hours with a 2-hour application interval. With the COL System, 16 vials were tested, resulting in 448 measurements with a 1-hour application interval over 12 hours. Neither the Meise nor the COL System showed contamination of any application after 24 hours of incubation. After 48 hours of incubation, two vials of the Meise System showed a contamination in one measurement, but subsequent applications were sterile again. In the COL System, nine measurements in seven vials were positive. In three of these vials, the last application at 24 hours showed contamination after 48 hours of incubation, where no further drops were applied.</p><p><strong>Conclusion: </strong>The study confirms the sterility of ASEDs in two reclosable types of ophtiole systems during single-day use in laboratory-simulated conditions within 12 hours of application and 24 hours of incubation time. This is consistent with our several years of clinical experience of the absence of ocular infections caused by the use of ASEDs in the described ophtioles.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"304-309"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Buckle Dislocation Mimicking Eyelid Tumor.","authors":"Eleftherios Chatzimichail, Peter Meyer, Zisis Gatzioufas, Alexandra Steinemann-Inauen","doi":"10.1055/a-2506-9381","DOIUrl":"10.1055/a-2506-9381","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"459-460"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Changing Physicians on Compliance with Management of Myopia Progression.","authors":"Fabian Schibli, Anja Palmowski-Wolfe","doi":"10.1055/a-2493-9295","DOIUrl":"10.1055/a-2493-9295","url":null,"abstract":"<p><strong>Background: </strong>The global incidence of high myopia is increasing, with projections indicating a rise from 3 to 10% of the global population by 2050. Effective treatment options exist to reduce myopia progression, but their success is contingent on patient adherence. This study assesses the impact of changes in treating physicians on adherence to therapy to control myopia progression.</p><p><strong>Patients and methods: </strong>This retrospective observational study analyzed data from the Myopia Clinic at the University Eye Hospital of Basel from 2020 to 2023. Adherence rates were compared between consultations with and without a change in the treating physician, as well as between resident and senior physicians. Statistical analysis was performed using unpaired t-tests and chi-squared tests.</p><p><strong>Results: </strong>A total of 73 patients, with a mean age of 10.76 years, who had at least three axial length measurements were included. Overall, 84.79% of consultations adhered to the recommended treatment. A significantly higher nonadherence rate of 21.43% was observed in consultations following a change in physician, compared to 6.42% with physician stability (p = 0.0037). Nonadherence was also higher with resident physicians (18.31%) compared to senior physicians (8.70%; p = 0.0310). No significant difference in adherence was found between optical and medical treatment options (p = 0.6293). Age and gender did not significantly influence adherence.</p><p><strong>Discussion: </strong>The study reveals a significant negative impact of physician changes on patient adherence in therapy to control myopia progression control. The findings emphasize the importance of consistent physician care, particularly in avoiding frequent rotations among resident physicians, in order to enhance treatment adherence. While the study's limitations include a small sample size and single-center data, the results suggest that strategies to minimize changes in treating physicians could improve adherence outcomes.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"435-437"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Outcome of Congenital Obstruction of the Nasolacrimal Duct].","authors":"Bardh Mulaj, Sarah Patzelt, Karla Chaloupka, Christina Gerth-Kahlert","doi":"10.1055/a-2511-6524","DOIUrl":"10.1055/a-2511-6524","url":null,"abstract":"<p><strong>Background: </strong>Congenital nasolacrimal duct obstruction, a common condition in newborns, is characterised by narrowing of the tear drainage system, often at the nasolacrimal duct. In most cases, the tear duct opens spontaneously within the first year of life, assisted by massage. In cases where there is no improvement, surgical probing may be required. This study aimed to analyse the presentation and outcomes of surgically treated tear duct obstructions in children at our clinic.</p><p><strong>Patients and methods: </strong>A retrospective analysis was conducted using electronic medical records of patients under 18 years of age who were treated for congenital nasolacrimal duct obstruction between 2011 and 2023. Data collected included demographic information, symptoms, stenosis location, surgical therapy, and outcomes. Additionally, parents of the patients were surveyed regarding the postoperative condition and symptomatology. The study was approved by the Cantonal Ethics Commission Zurich (BASEC2022-00830).</p><p><strong>Results: </strong>Of a total of 147 identified patients (39 female, 62 male), 69% could be analysed with available consent. The age at initial examination ranged from 8 months to 12 years (median 27 months). Unilateral stenosis was observed in 69% of cases and bilateral stenosis in 31%. The most common symptoms were epiphora (95%), matted eyelashes (68%), mucous discharge (23%), and redness of the eyelids/conjunctiva (19%). Malformations were identified intraoperatively in 11% of cases. A second probing was necessary in 10% of cases, with ages ranging from 18 to 69 months (median 38 months). Dacryocystorhinostomy was performed in 4% of cases (age 92 - 145 months, median 113 months). Postoperatively, 70.5% reported subjective and/or objective symptom resolution, 22.7% experienced persistent epiphora, and 6.8% had recurrent matted eyelashes. Of the 101 patients surveyed, 77 responded to the questionnaire. Among them, 92% reported that tearing was no longer present, 96% no longer required therapy, 97% reported uncomplicated surgery, 17% experienced recurrent tearing, and 6% required additional non-lacrimal treatments.</p><p><strong>Conclusion: </strong>In most cases, probing and irrigation alone are sufficient for healing. Temporary stent placement is more frequently necessary in older children. An intervention after 18 months of age does not negatively impact healing.</p>","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"310-315"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous Regression of Postoperative Paracentral Posterior Retinal Folds after Vitrectomy for Rhegmatogenous Pseudophakic Retinal Detachment.","authors":"Amr Saad, Karin Fröse, Gabor Mark Somfai, Matthias Becker","doi":"10.1055/a-2521-4013","DOIUrl":"10.1055/a-2521-4013","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":" ","pages":"448-450"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corneal Wound Burns - Rare but Serious Complications of Phacoemulsification Surgery.","authors":"Maximilian Felix Jacobi, Daniel Rudolf Muth, Robert Alexander Blum, Daniel Barthelmes, Sandrine Zweifel, Frank Blaser","doi":"10.1055/a-2498-0334","DOIUrl":"https://doi.org/10.1055/a-2498-0334","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"346-352"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute and Complete Expulsion of a Porous Polyethylene Orbital Implant 14 Months after Primary Enucleation for Uveal Melanoma: A Case Report.","authors":"Julien Schaller, Augustina Grigaité, Andréas J Kreis, Aurélie Oberic, Barbara Spahn, Ann Schalenbourg","doi":"10.1055/a-2534-2276","DOIUrl":"https://doi.org/10.1055/a-2534-2276","url":null,"abstract":"","PeriodicalId":17904,"journal":{"name":"Klinische Monatsblatter fur Augenheilkunde","volume":"242 4","pages":"455-458"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12020655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}